Community Alcohol/Drug Assessment Program APH Board Presentation - - - PowerPoint PPT Presentation

Community Alcohol/Drug Assessment Program

APH Board Presentation - May 24, 2017 Jan Metheany, MSW, RSW Program Manager Community Mental Health Support Services; Community Alcohol/Drug Assessment & Counselling Service; APH Harm Reduction Services

Service Delivery Context

• Integrative health model- Foundations of PH in delivery of community based

MH&A clinical services

• Only Agency to deliver community based adult MH&A services throughout the

entire Algoma district.

• Collaboration, planning, and evaluation in delivering a strong and effective district

wide addiction support system.

Total FTE: 8.1 Total Service Recipients/year: approximately 1000 Total Number of Direct Contacts/visits: approximately 5000 Total Annual Funding: approximately $955, 000

Commun Communit ity y Al Alco coho hol/ l/Dr Drug ug Asses Assessme sment nt Pr Prog

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am (CA (CADAP) AP) Core Services Harm Reduction Services Collaborative Out Reach Services

Core Addiction Services Harm Reduction Services Collaborative Outreach Services

Assessment & Counselling Addiction Supportive Housing (ASH) Methadone Maintenance Treatment Program (MMT) Needle Exchange Program (NEP) Stop for Addiction Mege Zee Wuhsiswun Ontario Works (DSSMSSAB & ADSSAB) - Addiction Support Initiative (ASI) Back on Track (BOT) District Wide Program District Wide Subsidy Program Addiction Housing Case Management (SSM only) SSM District Wide Program District Wide Program Garden River District Wide Program SSM (LHIN funded) (LHIN funded) (LHIN funded) (Public Health funded) (CAMH funded) (Garden River Wellness Centre funded) (DSSMSSAB funded) (ADSSAB funded) (CAMH funded)

CADAP – Client Identified Problematic Substances

• Tobacco – 70%
• Alcohol – 66%
• Cannabis – 44%
• Prescription Opioids – 27%
• Cocaine – 26%
• Methamphetamines – 6%

(Crystal Meth)

Rate of Opioid related Emergency Room Visits Rate of Opioid related Hospitalizations Rate of Opioid related Deaths 2nd highest out of 36 public health units 2nd highest out of 36 public health units 11th highest out of 36 public health units

Public Health Ontario Interactive Opioid Tool

Scale of Opioid Problem in Algoma in 2015

Alcohol/Drug Assessment & Counselling Program

Alcohol/Drug Assessment Services

Administration of Provincially Mandated Assessment Tools

• Severity of use/abuse
• Stages of change
• Determine appropriate level/intensity of treatment services
• Screening for mental health issues

* Regional Trainor & Early Adopters of the GAINQ3

Alcohol/Drug Assessment & Counselling Program cont’d

Case Management Services

• Linking and coordination of services
• Monitoring and support
• Ongoing adjustment to treatment plan
• Discharge planning

Outpatient Counselling Services

• Individual Counselling
• Group Format
• Walk-in Clinic

Alcohol/Drug Assessment & Counselling Program cont’d

Addiction Supportive Housing (ASH) Program

Based on Housing First Model

• Rent Subsidy - paid directly to landlords
• Intensive Addiction Case Management (Mobile)

Methadone Maintenance Treatment Program

Methadone Maintenance Treatment Program

• Treatment for individuals who are dependent on opioids
• Clinics are held twice weekly, with additional times set aside during the

week for clients to provide required urine samples

• Pregnant women are considered priority for admission to the program
• Naloxone Distribution

Needle Exchange Program

Public Health Standard

• Provincial Best Practice Guideline
• Wawa – Monday – Friday, 8:30 – 4:30 pm drop in - location APH office
• SSM – Monday – Friday, 1:00 - 4:00 pm - location John Howard Society
• Blind River - Fridays, 1:00 - 4:00 pm - location APH office
• Elliot Lake – Fridays, 1:00 - 4:00 pm - location APH office
• Naloxone Distribution

Stop Stop for Add for Addicti iction

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Centre for Addiction & Mental Health Program - aimed at assisting individuals dealing with addiction issues with Tobacco Cessation.

• Assessment
• Cessation Planning
• Ongoing Cessation Supports
• Free Nicotine Replacement

Ontario Works Addiction Services Initiative (ASI)

• SSM – 1.0 FTE APH - CADAP Assessment Counsellor
• District - .25 FTE APH - CADAP Assessment Counsellor
• Priority for assessment, treatment, planning, counselling and case

management for OW - ASI participants

Back Back on Tra

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ck Prog Program ram

Ontario’s Remedial Measures Program for convicted impaired drivers:

• Back on Track Assessment
• One-day Education Session
• Two-day Treatment Session and Follow-up Assessment

Mege Zee Wusiswun

• Garden River Wellness Centre
• 1.0 FTE Addiction Assessment Counsellor dedicated to supporting the

Garden River First Nations community

Thank You